Cost of care of chronic non-communicable diseases in Jamaican patients: the role of obesity

OBJECTIVE: To estimate the economic cost of Chronic Non-Communicable Diseases (CNCDs) and the portion attributable to obesity among patients in Jamaica.METHODS: The cost-of-illness approach was used to estimate the cost of care in a hospital setting in Jamaica for type 2 diabetes mellitus, hypertension, coronary heart disease, stroke, gallbladder disease, breast cancer, colon cancer, osteoarthritis, and high cholesterol. Cost and service utilization data were collected from the hospital records of all patients with these diseases who visited the University Hospital of the West Indies (UHWI) during 2006. Patients were included in the study if they were between15 and 74 years of age and if female, were not pregnant during that year. Costs were categorized as direct or indirect. Direct costs included costs for prescription drugs, consultation visits (emergency and clinic visits), hospitalizations, allied health services, diagnostic and treatment procedures. Indirect costs included costs attributed to premature mortality, disability (permanent and temporary), and absenteeism. Indirect costs were discounted at 3% rate.RESULTS: The sample consisted of 554 patients (40%) males (60%) females. The economic burden of the nine diseases was estimated at US$5,672,618 (males 37$ 1,157,173 (males 23%; females 77%). Total direct cost was estimated at US$3,740,377 with female patients accounting for 69.9$ 1,932,241 with female patients accounting for 50.6% of this cost. The greater cost among women was not found to be statistically significant. Overall, on a per capita basis, males and females accrued similar costs-of-illness (US$9,451.75 vs. US$ 10,758.18).CONCLUSIONS: In a country with per capita GDP of less than US$5,300, a per capita annual cost of illness of US$ 10,239 for CNCDs is excessive and has detrimental implications for the health and development of Jamaica

Evidence of neutral transcriptome evolution in plants

The transcriptome of an organism is its set of gene transcripts (mRNAs) at a defined spatial and temporal locus. Because gene expression is affected markedly by environmental and developmental perturbations, it is widely assumed that transcriptome divergence among taxa represents adaptive phenotypic selection. This assumption has been challenged by neutral theories which propose that stochastic processes drive transcriptome evolution. To test for evidence of neutral transcriptome evolution in plants, we quantified 18 494 gene transcripts in nonsenescent leaves of 14 taxa of Brassicaceae using robust cross-species transcriptomics which includes a two-step physical and in silicobased normalization procedure based on DNA similarity among taxa. Transcriptome divergence correlates positively with evolutionary distance between taxa and with variation in gene expression among samples. Results are similar for pseudogenes and chloroplast genes evolving at different rates. Remarkably, variation in transcript abundance among root-cell samples correlates positively with transcriptome divergence among root tissues and among taxa. Because neutral processes affect transcriptome evolution in plants, many differences in gene expression among or within taxa may be nonfunctional, reflecting ancestral plasticity and founder effects. Appropriate null models are required when comparing transcriptomes in space and time

A quantitative approach for measuring the reservoir of latent HIV-1 proviruses.

A stable latent reservoir for HIV-1 in resting CD4+ T cells is the principal barrier to a cure1-3. Curative strategies that target the reservoir are being tested4,5 and require accurate, scalable reservoir assays. The reservoir was defined with quantitative viral outgrowth assays for cells that release infectious virus after one round of T cell activation1. However, these quantitative outgrowth assays and newer assays for cells that produce viral RNA after activation6 may underestimate the reservoir size because one round of activation does not induce all proviruses7. Many studies rely on simple assays based on polymerase chain reaction to detect proviral DNA regardless of transcriptional status, but the clinical relevance of these assays is unclear, as the vast majority of proviruses are defective7-9. Here we describe a more accurate method of measuring the HIV-1 reservoir that separately quantifies intact and defective proviruses. We show that the dynamics of cells that carry intact and defective proviruses are different in vitro and in vivo. These findings have implications for targeting the intact proviruses that are a barrier to curing HIV infection

Importing genetically altered animals : ensuring quality

The reproducibility of research using laboratory animals requires reliable management of their quality, in particular of their genetics, health and environment, all of which contribute to their phenotypes. The point at which these biological materials are transferred between researchers is particularly sensitive, as it may result in a loss of integrity of the animals and/or their documentation. Here, we describe the various aspects of laboratory animal quality that should be confirmed when sharing rodent research models. We also discuss how repositories of biological materials support the scientific community to ensure the continuity of the quality of laboratory animals. Both the concept of quality and the role of repositories themselves extend to all exchanges of biological materials and all networks that support the sharing of these reagents.Peer reviewe

Organics in comet 67P – a first comparative analysis of mass spectra from ROSINA–DFMS, COSAC and Ptolemy

The ESA Rosetta spacecraft followed comet 67P at a close distance for more than 2 yr. In addition, it deployed the lander Philae on to the surface of the comet. The (surface) composition of the comet is of great interest to understand the origin and evolution of comets. By combining measurements made on the comet itself and in the coma, we probe the nature of this surface material and compare it to remote sensing observations. We compare data from the double focusing mass spectrometer (DFMS) of the ROSINA experiment on ESA's Rosetta mission and previously published data from the two mass spectrometers COSAC (COmetary Sampling And Composition) and Ptolemy on the lander. The mass spectra of all three instruments show very similar patterns of mainly CHO-bearing molecules that sublimate at temperatures of 275 K. The DFMS data also show a great variety of CH-, CHN-, CHS-, CHO2- and CHNO-bearing saturated and unsaturated species. Methyl isocyanate, propanal and glycol aldehyde suggested by the earlier analysis of the measured COSAC spectrum could not be confirmed. The presence of polyoxymethylene in the Ptolemy spectrum was found to be unlikely. However, the signature of the aromatic compound toluene was identified in DFMS and Ptolemy data. Comparison with remote sensing instruments confirms the complex nature of the organics on the surface of 67P, which is much more diverse than anticipated

The oxygen isotopic composition (18O/16O) in the dust of comet 67P/Churyumov-Gerasimenko measured by COSIMA on-board Rosetta

The oxygen isotopic ratio 18O/16O has been measured in cometary gas for a wide variety of comets, but the only measurements in cometary dust were performed by the Stardust cometary sample return mission. Most such measurements find a value of the ratio that is consistent with Vienna Standard Mean Ocean Water (VSMOW) within errors. In this work we present the result of a measurement, using the COSIMA (the COmetary Secondary Ion Mass Analyser) instrument on the Rosetta orbiter, of the oxygen isotopic ratio in dust from Comet 67P/Churyumov-Gerasimenko. Measuring the 18O/16O ratio with COSIMA is challenging for a number of reasons, but it is possible with a reasonable degree of precision. We find a result of 2.00 × 10−3 ± 1.2 × 10−4, which is consistent within errors with VSMOW.</p

Canonical Quantization of (2+1)-Dimensional Gravity

We consider the quantum dynamics of both open and closed two- dimensional universes with ``wormholes'' and particles. The wave function is given as a sum of freely propagating amplitudes, emitted from a network of mapping class images of the initial state. Interference between these amplitudes gives non-trivial scattering effects, formally analogous to the optical diffraction by a multidimensional grating; the ``bright lines'' correspond to the most probable geometries.Comment: 22 pages, Mexico preprint ICN-UNAM-93-1

The origin of the CN radical in comets: A review from observations and models.

Abstract The origin of CN radicals in comets is not completely understood so far. We present a study of CN and HCN production rates and CN Haser scale lengths showing that: (1) at heliocentric distances larger than 3 AU, CN radicals could be entirely produced by HCN photolysis; (2) closer to the Sun, for a fraction of comets CN production rates are higher than HCN ones whereas (3) in the others, CN distribution cannot be explained by the HCN photolysis although CN and HCN production rates seem to be similar. Thus, when the comets are closer than 3 AU to the Sun, an additional process to the HCN photolysis seems to be required to explain the CN density in some comets. The photolysis of HC 3 N or C 2 N 2 could explain the CN origin. But the HC 3 N production rate is probably too low to reproduce CN density profile, even if uncertainties on its photolysis leave the place for all possible conclusions. The presence of C 2 N 2 in comets is a reliable hypothesis to explain the CN origin; thus, its detection is a challenging issue. Since C 2 N 2 is very difficult to detect from ground-based observations, only in situ measurements or space observations could determine the contribution of this compound in the CN origin. Another hypothesis is a direct production of CN radicals by the photo-or thermal degradation of complex refractory organic compounds present on cometary grains. This process could explain the spatial profile of CN inside jets and the discrepancy noted in the isotopic ratio 14 N/ 15 N between CN and HCN. Laboratory studies of the thermal and UV-induced degradation of solid nitrogenated compounds are required to model and validate this hypothesis.

Isotopic abundance of nitrogen and carbon in distant comets

The 12C14N/12C15N and 12C14N/13C14N isotopic ratios have been determined in comets C/1995 O1 (Hale-Bopp), C/2001 Q4 (NEAT) and C/2003 K4 (LINEAR) at heliocentric distances of, respectively, 2.7, 3.7 and 2.6 AU. These ratios have also been measured at r ~ 1 AU. No significant differences were found between all determinations, nor with the value obtained for other comets. If confirmed, the discrepancy between the nitrogen isotopic ratios from optical and millimeter measurements on CN and HCN would rule out HCN as a major parent of the cometary CN radicals.Comment: Accepted for publication in Astronomy ans Astrophysic

Tandem quadruplication of HMA4 in the zinc (Zn) and cadmium (Cd) hyperaccumulator noccaea caerulescens

Zinc (Zn) and cadmium (Cd) hyperaccumulation may have evolved twice in the Brassicaceae, in Arabidopsis halleri and in the Noccaea genus. Tandem gene duplication and deregulated expression of the Zn transporter, HMA4, has previously been linked to Zn/Cd hyperaccumulation in A. halleri. Here, we tested the hypothesis that tandem duplication and deregulation of HMA4 expression also occurs in Noccaea. A Noccaea caerulescens genomic library was generated, containing 36,864 fosmid pCC1FOSTM clones with insert sizes ~20–40 kbp, and screened with a PCR-generated HMA4 genomic probe. Gene copy number within the genome was estimated through DNA fingerprinting and pooled fosmid pyrosequencing. Gene copy numbers within individual clones was determined by PCR analyses with novel locus specific primers. Entire fosmids were then sequenced individually and reads equivalent to 20-fold coverage were assembled to generate complete whole contigs. Four tandem HMA4 repeats were identified in a contiguous sequence of 101,480 bp based on sequence overlap identities. These were flanked by regions syntenous with up and downstream regions of AtHMA4 in Arabidopsis thaliana. Promoter-reporter b-glucuronidase (GUS) fusion analysis of a NcHMA4 in A. thaliana revealed deregulated expression in roots and shoots, analogous to AhHMA4 promoters, but distinct from AtHMA4 expression which localised to the root vascular tissue. This remarkable consistency in tandem duplication and deregulated expression of metal transport genes between N. caerulescens and A. halleri, which last shared a common ancestor >40 mya, provides intriguing evidence that parallel evolutionary pathways may underlie Zn/Cd hyperaccumulation in Brassicaceae